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DPC Startup Kit

Stop preparing. Start practicing.

Start with what you have. Add what you need.

Real guidance from docs who started with nothing — or less than nothing.

License: CC BY-NC 4.0 Maintained: Yes DPC Mentor Platform


Two Paths. Same Destination.

Most startup guides assume you have $50,000 and six months to prepare. We don't.

Choose your path:

⚡ Bootstrap Path

Start in weeks. Spend under $3,000.

A stethoscope, a phone, and patients who need you. Everything else is optional.

Start Here →

🏗 Comprehensive Path

Plan thoroughly. Build with intention.

Research every decision. Set up complete systems. Launch with everything in place.

Explore Everything →

Our Recommendation

Start bootstrap, add depth as you grow. You'll learn more from 10 patients than 10 months of planning. Revenue solves problems that spreadsheets can't.


About This Resource

This startup kit was developed by experienced DPC physicians — including some of the first in the nation to practice Direct Primary Care — drawing from years of real-world experience building and mentoring DPC practices.

What makes this different:

  • Bootstrap-first philosophy — We lead with "what's the minimum?" not "what's ideal?"
  • All 50 states covered — State-specific laws, regulations, and resources
  • Open source — Free to use, share, and improve (CC BY-NC 4.0)
  • Real-world tested — From physicians who've done it, not consultants who haven't

This resource serves as the knowledge base for the DPC Mentor Platform, connecting aspiring DPC physicians with experienced mentors.


Who This Is For

Audience Description
🩺 Physicians considering DPC Learn what Direct Primary Care is all about
🚀 Physicians actively starting Step-by-step guidance for launching your practice
🔁 Physicians transitioning Moving from employed or traditional practice to DPC
🧑‍🏫 DPC mentors Resources for guiding the next generation

Quick Start

⚡ Bootstrap Quick Start (First Patient in 7 Days)

Tick off each day as you go — your progress is saved in your browser.

Total cost: $1,500-3,000. Break-even: 3-10 patients.

🏗 Comprehensive Quick Start (Launch in 3-6 Months)

Phase 1: Foundation 1. Choosing a Legal Entity 2. Business Registration Checklist 3. State DPC Laws + Your State Guide

Phase 2: Operations 1. Office Space Guide 2. Equipment & Supplies Checklist 3. EMR Selection Guide

Phase 3: Launch 1. Pricing Your Practice 2. Building Your Brand 3. Patient Onboarding Workflow


Content Sections

⚡ Bootstrap

Start lean with $1,500-3,000. Low-tech toolkit, minimum viable practice, FAQ. Start Here →

🇺🇸 State Guides

All 50 states. DPC laws, dispensing rules, regulatory links. Find Your State →

💼 Business Formation

Legal entities, registration, startup costs, insurance, partnerships, exit planning. Explore →

📊 Small Business Fundamentals

Accounting, bookkeeping, cash flow, taxes, and metrics — the business side of running a practice. Explore →

💰 Pricing & Membership

Pricing strategies, membership models, agreements, employer contracts. Explore →

💻 Technology

EMR selection and comparison, telehealth, websites, scheduling. Explore →

HIPAA, controlled substances, telehealth law, corporate practice, state laws. Explore →

⚙ Operations

Office space, equipment, workflows, hiring, scaling, staff training. Explore →

📢 Marketing

Patient education, branding, website content, community outreach. Explore →

👥 Mentoring

Resources for DPC Mentor Platform participants — mentors and mentees. Explore →

🔗 Resources

Service providers, lab partners, organizations, communities, reading. Explore →


Key Principles

🌱 Patients Before Infrastructure

A practice with one patient is infinitely more real than a business plan with none.

Many successful DPC practices started with nothing more than:

  • A stethoscope and a phone
  • Paper charts or Google Docs
  • A kitchen table for admin
  • Patients who needed them

Everything else came later, funded by revenue.

📏 Right-Size Your Tools

Match your systems to your current stage — not your eventual stage:

Stage Bootstrap Approach Comprehensive Approach
0–30 patients Paper calendar, Google Docs, your cell phone Basic EMR, simple website
30–75 patients Add EMR when paper becomes painful Full systems, workflows
75+ patients Staff when you're turning patients away Team, dedicated space

💵 Revenue Before Expenses

Don't spend money on things you'll need "someday."

  • Buy equipment when patient demand justifies it
  • Add software when manual processes break down
  • Hire staff when you're the bottleneck
  • Get office space when alternatives limit you

The bootstrap path isn't forever. It's until revenue funds the next step.


Important Disclaimers

Educational Content Only

This is educational content, not legal or financial advice.

  • Regulations vary by state and change over time
  • Always consult a healthcare attorney for legal matters
  • Always consult an accountant for tax and financial matters
  • Verify current requirements with official sources

Contributing

This resource is maintained for mentorship purposes. Contributions and corrections are welcome.

  • Found an error? Open an issue or submit a pull request
  • Have a suggestion? Let us know through the repository issues
  • Want to contribute content? See CONTRIBUTING.md

License

This work is licensed under CC BY-NC 4.0 (Creative Commons Attribution-NonCommercial 4.0 International).

You are free to:

  • ✅ Share and adapt with attribution
  • ✅ Use for educational and personal purposes
  • ❌ Not for commercial use without permission

Built by DPC physicians, for DPC physicians.

Part of the DPC Mentor Platform ecosystem